Dr. Abhaya Kant Tewari
Neurology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hi doctor,
I am 40 years old. I noticed two moving spinning dots suddenly for the past one year, or I do not know how to explain. They look like spinning wheels. I see them for 10 -15 seconds, and then everything is normal. I see them in my left side vision (on the upper side). If I close one eye or both eyes, I still feel them. It usually happens once every month or two months. Sometimes it happens twice a day also. I got my eyes checked 15 days back for retina and all related issues, but all are normal.
Can it be some serious problem? Which doctor should l visit? Overall my health is fine, but recently I have been diagnosed with diabetes.
Hello,
Welcome to icliniq.com.
As I understand, you have intermittent spinning wheels in the left upper visual field on and off with eyes open or closed. I would like to know whether you have any headache problems and do these appear before headaches? This sort of aura can occur in headache associated with migraine. These could also be due to some lesion in the brain's occipital lobe (the region of the brain associated with vision). It will be prudent to rule out a brain lesion before deciding on a future course. An MRI will definitely help.
Investigations to be done
Probable diagnosis
Regarding follow up
Patient's Query
Thank you doctor,
I do not have headaches. I feel it for some seconds, and then everything is normal. Can lesions in the occipital lobe be treated if present? Can it lead to blindness? I am so worried.
Hi,
Welcome back to icliniq.com.
No, it will not lead to blindness. Please do not worry about this. And yes, lesions can be treated. But if you do an MRI, it will be good.
Patient's Query
Thank you doctor,
I am feeling better. What MRI should I get done exactly? Should I tell them like MRI head? I got an MRI head before five years, and it was normal as I remember?
Secondly, can these lesions be treated with surgery or with medicines if needed? Do they not cause blindness at all?
Hello,
Welcome back to icliniq.com.
Please get a plain MRI head. This should be good enough.
Patient's Query
Thank you doctor,
Also, sometimes I have noticed pain in the head at the lower right side of my head next to the right ear. It has happened a few times in the last year. Can it be related to the occipital area? This pain is not in the left lower side but only on the right side. Can this be related to my vision symptoms?
Anyways, I will get an MRI done tomorrow.
Hello,
Welcome back to icliniq.com.
Please do not worry. Whatever it is can be easily treated. A normal MRI is the most likely. Once the MRI head is done, I can guide you better.
Your apprehensions are justified, but there is no need to worry about the problem until we know all the facts. In my endeavor to keep you well informed, I had mentioned the likely causes and did not get you worried. So relax.
Patient's Query
Thank you doctor,
Do I need to get an MRI with contrast or without? I wanted to book an appointment they were asking me. Also, do I need to tell them MRI brain or MRI head? They say they can do an MRI brain.
Hello,
Welcome back to icliniq.com.
Please do MRI plain i.e., MRI brain without contrast.
Patient's Query
Thank you doctor,
I have attached the MRI report. Please let me know if anything is wrong.
Hello,
Welcome back to icliniq.com.
It is good that your MRI brain has not shown any abnormality, this is what we wanted to rule out (attachment removed to protect patient identity). No medication is required for your problem. I suggest you to use sunglasses in the bright sunlight. The floaters will disappear on their own and do not worry about them. Avoid bright, flashing lights in the environment. You can carry on with your daily activities and routine without getting worried.
Regarding follow up
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Neurology
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